Introduction. We hope you have learned new things from the course project, and you should be proud of your video playlist. This is the last part of the course project, in which you will review and comment on the course project (introductory essay and video playlist) from one of your class mates.
Expectations. In this module, your assignment is to review and write two paragraphs of comments on one other person’s project.
Browse posted course projects on the Discussion Board under “Module 4: Post Course Project to Discussion Board”. NOTE: You may have to download the project file and then open it. To see the videos, you may have to copy and paste the link address.
Select one project for this assignment. Look for a recently posted project, versus the first posted project that tends to get selected.
Write one paragraph of 100-150 words describing what you learned from watching the videos of the selected project. Start your paragraph by “I selected [NAME]’s project”, where NAME is the name of the student whose project you have selected.
Write second paragraph of 100-150 words on the introductory essay, in terms of the impact on you from the essay of the selected project
Submit comments. You may post in the discussion board for others to view but you must submit for grading.
Friday
Mar 18 at 7:12pm
Manage Discussion Entry
Course Project Part 4
The main purpose of this playlist is to illustrate just how impactful a mistake can be to families, patients, and healthcare workers. Each video in this playlist demonstrates just how easy it is for a mistake to be made and how much work must go into creating a more error-conscious environment. These videos were specifically chosen with the goal that each one will resonate with the healthcare worker and inspire them to influence change in their personal practice and workplace.
The first video chosen for the playlist illustrates the pain families feel after a medical error that results in their child’s death (Visscher, 2018). This video was chosen to illustrate the life-long impact a mistake can have on both patients and families (Visscher, 2018). This video was also chosen to demonstrate the importance of open communication between medical staff and families (Visscher, 2018). The more we as healthcare workers listen to the patients and families, the more errors can be avoided. The second video was chosen to illustrate the struggles a healthcare worker endures after an error is made (Patient Safety Movement, 2017). In addition to errors made during label reading and mathematic calculations, errors are more easily made when staff members are distracted (Patient Safety Movement, 2017). The last video displays a scenario where many medical errors are made (Improvement Academy, 2019). This video demonstrates many human factors that can make up a medical error, communication mistakes, omission of pertinent information, drug name confusions, and inefficient care are just a few (Improvement Academy, 2019).
After watching this video playlist, the healthcare worker will be able to understand on an emotional level the impact human factors can have on patient safety. The messages portrayed in the videos should give the healthcare worker a greater appreciation for the gravity of the job they do and the many factors that can contribute to an error. Each video demonstrates the importance of human factors awareness.
References
Improvement Academy. (2019, January 11). Sepsis scenario illustrating human factors [Video]. YouTube.
(Links to an external site.)
Patient Safety Movement. (2017, February 8). Nurse Gwen Cox learns from her patient safety mistake [Video]. YouTube.
(Links to an external site.)
Visscher, D. (2018, April 26). Misplaced feeding tube kills 11-day old baby [Video]. Patient Safety Movement.
(Links to an external site.)
Video Playlist
Misplaced Feeding Tube Kills 11-Day Old Baby
(Links to an external site.)
In this video, a mother discusses her feelings of loss after the death of her 11-day old son related to a misplaced feeding tube (Visscher, 2018). After placement of the tube and during the feeding, the mom and dad voiced their concerns that the patient was blowing bubbles and fussy, but the nurse said that everything was ok. Moments later the infant’s lips turned blue and the nurse asked the mother to call for help (Visscher, 2018).
Nurse Gwen Cox Learns from Her Patient Safety Mistake
(Links to an external site.)
In this video, nurse Gwen Cox discusses the time she administered the wrong dosage of medication to a patient on her unit (Patient Safety Movement, 2017). Gwen discusses the many variables involved in patient care and patient safety (Patient Safety Movement, 2017). Lastly, Gwen discusses the three years it took to improve the culture and safety measures on her unit in an effort to prevent errors and create an environment where learning was encouraged (Patient Safety Movement, 2017).
Sepsis Scenario Illustrating Human Factors
(Links to an external site.)
This video depicts a scenario in which both the doctor and two nurses make human factors errors during care of a patient with sepsis (Improvement Academy, 2019). One of the nurses retrieves a sepsis pathway checklist in order to better understand which interventions will work best for the diagnosis (Improvement Academy, 2019). During the scenario, the viewers witness multiple communication errors, the incorrect look-alike medication being chosen for treatment, and critical vital signs that are not shared with the treatment team (Improvement Academy, 2019).
